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DR. GRESA B SYLEJMANI DO
NPI 1710482294
Internal Medicine in Albuquerque, NM

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
401 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108(505) 462-7333 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2021, Jul 13, 2021, Jun 25, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Gresa B Sylejmani Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRESA B SYLEJMANI DO (NPI 1710482294) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (A-2468-21) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Lake Erie Col Of Osteo Med At Seton Hill Univ (2018).

NPPES Registry Identity

NPI1710482294
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GRESA B SYLEJMANICredential: DO
Location Address401 SAN MATEO BLVD SEAlbuquerque, NM 87108-2921
Mailing Address401 San Mateo Blvd SeAlbuquerque, NM 87108-2921 · (505) 462-7333
Phone(505) 462-7333
Sole ProprietorYes
Medical School CMSLake Erie Col Of Osteo Med At Seton Hill UnivGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateJuly 26, 20214 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
✔ NPI 1710482294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · A-2468-21
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
401 SAN MATEO BLVD SE, Albuquerque, NM 87108
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gresa B Sylejmani Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284982265
PECOS Enrollment IDI20210615002993
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
190 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers21 claims21 services$15.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers30 claims30 services$70.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALBERTO AGUAYO RICO M.D,
Internal Medicine
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7333
THOMAS ROTHFELD MD
Pediatrics
401 SAN MATEO BLVD SE, PMG SAN MATEO
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7306
PREBYTERIAN HEALTHCARE SERVICES
General Acute Care Hospital
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7416
GAIL L ROTHFORK CNM
Advanced Practice Midwife
401 SAN MATEO BLVD SE, PMG SAN MATEO
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7306
MIKAL ANN SMOKER PA-C
Physician Assistant
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7333
YOLANDA TSO MD
Pediatrics
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7333
DAWN ANNMARIE VIGIL CNP
Nurse Practitioner (Family)
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7368
VANESSA LOPEZ-VIETS PHD
Psychologist (Clinical)
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 462-7333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gresa Sylejmani's NPI number?

The NPI number for Gresa Sylejmani is 1710482294. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Gresa Sylejmani located?

Gresa Sylejmani practices at 401 San Mateo Blvd SE, Albuquerque, NM 87108. The listed phone number is (505) 462-7333.

What is Gresa Sylejmani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gresa Sylejmani enrolled in Medicare?

Yes. Gresa Sylejmani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gresa Sylejmani accept?

Health plans from UnitedHealthcare list Gresa Sylejmani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gresa Sylejmani affiliated with any hospitals?

According to CMS data, Gresa Sylejmani is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Gresa Sylejmani was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.